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Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy presents to the clinic with his mother, who notes that the way in which he plays has changed and that he has been limping, favoring his left leg. When asked, the patient states that his left knee hurts. He is afebrile and vital signs are stable. The patient is well nourished and meeting a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to the clinic for a chronic cough over the past 4 months. The patient reports a productive yellow/green cough that is worse at night. He denies any significant precipitating event prior to his symptoms. He denies fever, chest pain, palpitations, weight changes, or abdominal pain... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old man presents to his primary care physician concerned about excessive sleepiness that has persisted his entire life. He notes that he has been having difficulty with his job as a waiter because he often falls asleep suddenly during the day. He also experiences a sensation of dreaming as he go... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents to her primary care physician for a new patient appointment. She states that she feels well and has no current complaints. The patient recently started seeing a specialist for treatment for another medical condition but otherwise has had no medical problems. The patient lives ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman is brought to the emergency department by her husband because of a 1-hour history of severe groin pain, nausea, and vomiting. She has had a groin swelling that worsens with standing, coughing, and straining for the past 3 months. Her pulse is 120/min. Examination shows pallor; there is... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents to her dermatologist with complaints of discoloration of the skin on her hands and wrists. She says her symptoms started about 6-months ago. Around this time, she recalls moving into her new house with her husband and children. She had to quit her job to relocate and says she ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2800-g (6-lb 3-oz) male newborn is born at 39 weeks’ gestation to a 22-year-old woman, gravida 2, para 2, after an uncomplicated labor and delivery. The mother did not receive prenatal care. She traveled to Brazil to visit relatives during the first trimester of her pregnancy. She has bipolar disorder t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 47-year-old woman comes to the physician for the evaluation of a 4-month history of worsening fatigue and constipation. She has also noticed that her cheeks appear fuller and her voice has become hoarse. Her temperature is 36.3°C (97.3°F) and pulse is 59/min. Examination of the neck s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents with abdominal pain and blood in her urine. Since the acute onset of symptoms 3 days ago, there has been no improvement. She describes the pain as moderate, sharp and burning in character, non-radiating, and localized to the suprapubic region. She also has noted some mild urin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician by his parents because of a 6-week history of increased tiredness, irritability, and worsening leg pain. His parents report that he has been reluctant to walk recently because of the pain in his legs. Examination shows conjunctival pallor and diffuse petechiae.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man comes to the physician because of fever, night sweats, malaise, dyspnea, and a productive cough with bloody sputum for 4 days. He was diagnosed with HIV infection 15 years ago and has not been compliant with his medication regimen. Physical examination shows diminished breath sounds over... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man presents with a history of a frequent unpleasant crawling sensation in both of his legs accompanied by an urge to move his legs for the last 6 months. He continuously moves his legs to provide him with partial relief from the unpleasant feelings in his legs. The symptoms are especially s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician because of worsening jaundice that started 8 days ago. She has had similar episodes in the past. Her father underwent a splenectomy during adolescence. Physical examination shows mild splenomegaly. Laboratory studies show: Hemoglobin 10.1 g/dL WBC count 7200/m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old obese man presents as a new patient to his primary care physician because he has been feeling tired and short of breath after recently moving to Denver. He is a former 50 pack-year smoker and has previously had deep venous thrombosis. Furthermore, he previously had a lobe of the lung removed... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year old gentleman presents to the primary care physician with the chief complaint of "feeling down" for the last 6 weeks. He describes trouble falling asleep at night, decreased appetite, and recent feelings of intense guilt regarding the state of his personal relationships. He says that everything ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department after being hit by a car while riding his bike. The patient was brought in with his airway intact, vitals stable, and with a C-collar on. Physical exam is notable for bruising over the patient’s head and a confused man with a Glasgow coma scale of 11.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old G0P0 female presents to her OB/GYN for a preconception visit to seek advice before becoming pregnant. A detailed history reveals no prior medical or surgical history, and she appears to be in good health currently. Her vaccination history is up-to-date. She denies tobacco or recreational dru... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old female college student presents to the emergency department due to severe pain in her stomach after an evening of heavy drinking with her friends. The pain is located in the upper half of the abdomen, is severe in intensity, and has an acute onset. She claims to have consumed a dozen alcohol... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy presents with shortness of breath after prolonged exposure to cold air during a recent hike with his friends. Past medical history is significant for asthma, untreated because he doesn't like using medications. The patient says he is a non-smoker and occasionally drinks alcohol. On physi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A multicentric, ambidirectional cohort study (i.e. a study that combines elements of both prospective and retrospective cohort studies) was designed in order to evaluate the relationship between nasal colonization with methicillin-resistant Staphylococcus aureus (MRSA) and exposure to patients in intensiv... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency department with abdominal distension. The patient states he has had gradually worsening abdominal distension with undulating pain, nausea, and vomiting for the past several months. The patient does not see a physician typically and has no known past medical hist... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man presents to his physician complaining of weakness and fatigue. On exam, you note significant peripheral edema. Transthoracic echocardiogram is performed and reveals a preserved ejection fraction with impaired diastolic relaxation. A representative still image is shown in Image A. Which o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male prisoner goes on a hunger strike to protest the conditions of his detainment. After 5 days without food, he suffers a seizure for which he is taken into a medical facility. On physical examination, he looks pale and diaphoretic. His blood glucose level is 50 mg/dL. In order to keep a co... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old patient comes to the physician because of a 4-month history of weight loss, chest pain, dry cough, and shortness of breath on exertion. He worked as a shipbuilder for 45 years and is now retired. Since the death of his wife 2 years ago, he has lived with his daughter. He has never smoked. Hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-month-old boy is brought to his pediatrician by his parents with a 12-hour history of fever and coughing. He has also been experiencing intermittent diarrhea and skin abscesses since birth. Otherwise, he has been meeting developmental milestones as expected. Analysis of this patient's sputum reveals ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man with a genetic disorder presents for genetic counseling because he is concerned about the risk that any children he has will have the same disease as himself. Specifically, since childhood he has had difficulty breathing requiring bronchodilators, inhaled corticosteroids, and chest physi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A medical research study is evaluating an investigational novel drug (medication 1) as compared with standard therapy (medication 2) in patients presenting to the emergency department with myocardial infarction (MI). The study enrolled a total of 3,000 subjects, 1,500 in each study arm. Follow-up was cond... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old male with fluctuating levels of consciousness is brought to the emergency department by ambulance due to a fire in his home. He currently opens his eyes to voice, localizes painful stimuli, responds when asked questions, but is disoriented and cannot obey commands. The patient’s temperature ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to the emergency department because of pain in his left thigh and left calf for the past 3 months. The pain occurs at rest, increases with walking, and is mildly improved by hanging the foot off the bed. He has had hypertension for 25 years and type 2 diabetes mellitus for 30 ye... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department because of difficulty breathing and sharp chest pain. The chest pain increases in intensity with lying down, and it radiates to the scapular ridge. Approximately 3 weeks ago, he had an anterior ST-elevation myocardial infarction, which was treated wit... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the emergency department after swallowing a button battery that was lying on the table 1 hour ago. She has no shortness of breath or chest discomfort. Her pulse is 112/min and respirations are 30/min. Pulse oximetry on room air shows an oxygen saturation of 98%. Physical ex... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-week-old male presents with his parents to the pediatrician for a well-child visit. The patient’s mother reports that the patient was eating well until about one week ago, when he began vomiting after breastfeeding. His mother has tried increasing the frequency of feeds and decreasing the amount of ea... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man being treated for benign prostatic hyperplasia (BPH) is admitted to the emergency department for 1 week of dysuria, nocturia, urge incontinence, and difficulty initiating micturition. His medical history is relevant for hypertension, active tobacco use, chronic obstructive pulmonary dise... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old male varsity athlete visits the on-campus health services for shortness of breath, fatigue, and lower limb edema with onset 1 week after mild upper respiratory tract infection. Upon physical examination, his blood pressure is 100/68 mm Hg, heart rate is 120/min, respiratory rate is 23/min, a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the outpatient clinic today. He has New York Heart Association class III heart failure. His current medications include captopril 20 mg, furosemide 40 mg, potassium chloride 10 mg twice daily, rosuvastatin 20 mg, and aspirin 81 mg. He reports that he generally feels well and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old, gravida 2, nulliparous woman, at 14 weeks' gestation comes to the physician because of a 6-hour history of light vaginal bleeding and lower abdominal discomfort. Eight months ago she had a spontaneous abortion at 10 weeks' gestation. Her pulse is 92/min, respirations are 18/min, and blood p... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old business executive presents to her primary care provider because of difficulty falling asleep on her trips. She makes 4–5 business trips from California to China every month. Her typical direct Los Angeles to Hong Kong flight leaves Los Angeles at 12:30 a.m. and reaches Hong Kong at 7:00 p.m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-week-old infant boy presents to the pediatrician with intermittent vomiting for the last 2 weeks. The mother reports that the vomiting is non-bilious and immediately follows feeding. After vomiting, the baby is hungry and wants to feed again. The frequency of vomiting has been increasing progressively... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman with bipolar disorder visits her gynecologist because she believes she is pregnant. A urine pregnancy test is performed which confirms she is pregnant. She has mild bipolar disorder for which she takes lithium and admits that she has been taking it ‘on and off’ for 2 years now but has ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old male is brought by his mother to the emergency room with dyspnea and fever. His mother reports a two-day history of progressive shortness of breath, malaise, and a fever with a maximum temperature of 101.6°F (38.7°C). The child has visited the emergency room three times over the past two year... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought to the physician for a well-child examination. He was born at 36 weeks' gestation. The mother has had no prenatal care. His 6-year-old sister has a history of osteosarcoma. He is exclusively breast fed. He is at the 60th percentile for height and weight. Vital signs are within... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman with a history of Crohn’s disease presents with a 3-week history of weight gain. The patient also presents with a 1-month history of abdominal pain, cramping, and bloody diarrhea consistent with worsening of her inflammatory bowel disease. Past medical history is significant for Crohn’... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man comes to the physician because of a 2-week history of cough and decreased urination. The cough was initially nonproductive, but in the last few days he has coughed up small amounts of blood-tinged sputum with clots. He has not had any fevers, chills, or weight loss. He has smoked one pac... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man is brought to the emergency department after a motorcycle accident 30 minutes ago. He was found at the scene of the accident with a major injury to the anterior chest by a metallic object that was not removed during transport to the hospital. The medical history could not be obtained. Hi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of a 2 month history of difficulty sleeping and worsening fatigue. During this time, he has also had difficulty concentrating and remembering tasks at work as well as diminished interest in his hobbies. He has no suicidal or homicidal ideation. He does not ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents with severe chest pain for a week. His pain increases with breathing and is localized to the right. He has tried over-the-counter medications at home, but they did not help. The patient has a 20-pack-year smoking history and currently smokes 2 pack of cigarettes daily, and he dr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 13-year-old girl is brought to the physician by her mother because of a change in behavior. The mother reports that over the past 6 months, her daughter has had frequent mood swings. Sometimes, she is irritable for several days and loses her temper easily. In between these episodes, s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman with recurrent urinary tract infections is brought to the emergency department by ambulance after sudden onset of severe headache 30 minutes ago. She has a history of occasional, mild headaches in the morning. There is no other history of serious illness. Both her father and her patern... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to the family medicine office since he has been having difficulty keeping his blood pressure under control for the past month. He has a significant medical history of hypertension, coronary artery disease, and diabetes mellitus. He has a prescription for losartan, atenolol, and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Twenty minutes after delivery by lower segment cesarean section at 38 weeks' gestation, a 4630-g (10-lb 3-oz) male newborn has respiratory distress. Apgar scores were 7 and 8 at 1 and 5 minutes, respectively. Pregnancy was complicated by gestational diabetes mellitus. His temperature is 36.9°C (98.4°F), p... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old gravida 2, para 1 presents to her physician at 21 weeks gestation with decreased sensitivity, tingling, and pain in her right hand that is worse at night and is partially relieved by shaking her hand. She developed these symptoms gradually over the past month. She does not report any trauma ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old female is brought to the emergency room with high fever and confusion. She complains of chills and myalgias, and physical examination reveals a petechial rash. Petechial biopsy reveals a Gram-negative diplococcus. The patient is at greatest risk for which of the following? ---- <<Choices:>> ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man with a history of diabetes, hypertension, hyperlipidemia, and obesity is transferred from the cardiac catheterization lab to the cardiac critical care unit after sustaining a massive myocardial infarction. He received a bare metal stent and has now stabilized. However, shortly after bein... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl is brought to the physician by her father because of a worsening pruritic rash for 2 days. Five weeks ago, she was diagnosed with juvenile myoclonic epilepsy and treatment with lamotrigine was begun. Her immunizations are up-to-date. Her temperature is 38.8°C (101.8°F). Physical examina... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to his physician for behavioral problems in school. The patient’s parents have noted that he often will “shake his hands” abnormally at times and does so on his own without provocation. This has persisted for the past year. Additionally, the child has made loud grunting sounds ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the Emergency Department because of bilateral leg swelling and puffiness of both eyes in the morning. His symptoms started about 2 weeks ago. He denies smoking or alcohol use and his family history is noncontributory. Today, his vital signs include a temperature of 36.8°C (98... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to her primary care physician complaining of left-sided facial pain that started yesterday. She describes the pain as stinging, burning, and constant. It does not worsen with jaw movement or chewing. Her past medical history includes hyperlipidemia and multiple sclerosis (MS),... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician because of a 2-day history of a red, itchy, burning rash on her vulva. She has had three similar episodes over the last two years that have all self-resolved. Genitourinary examination shows a small area of erythema with an overlying cluster of vesicles on the in... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying gamete production and oogenesis. For her experiment, she decides to cultivate primary oocytes just prior to ovulation and secondary oocytes just prior to fertilization. When she examines these gametes, she will find that the primary oocytes and secondary oocytes are arrested in wh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman presents to the primary care clinic complaining of trouble sleeping. She reports that she has episodes of “overheating” and “sweating” during the day and at night. The nightly episodes keep her from staying asleep. She also explains how embarrassing it is when she suddenly becomes hot ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the physician because of progressive burning pain and intermittent “electrical shocks” in his right chest for 3 months. Over the last 2 weeks, the pain has increased to an extent that he can no longer tolerate clothing on the affected area. Three months ago, he had a rash around... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman is brought to the emergency department because of an aggressive cough with copious amounts of thick, foamy, yellow-green sputum. She says she has had this cough for about 11 years with exacerbations similar to her presentation today. She also reports that her cough is worse in the morn... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to her primary care provider complaining of intermittent fever and loss of appetite for the past 2 weeks. She is also concerned about painful genital lesions. Past medical history is noncontributory. She takes oral contraceptives and a multivitamin daily. She has had two male ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the emergency department because of increasing abdominal pain with associated nausea and vomiting. The symptoms began suddenly after having intercourse with her partner six hours ago. There is no associated fever, diarrhea, vaginal bleeding, or discharge. Menarche was at the a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl presents with significant weight loss over the last few months. There is a positive family history of Hodgkin lymphoma and hyperthyroidism. Her blood pressure is 100/65 mm Hg, pulse rate is 60/min, and respiratory rate is 17/min. Her weight is 41 kg and height is 165 cm. On physical exa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman comes to the emergency department because of a 2-hour history of headache, nausea, blurred vision, and pain in the left eye. She has had similar symptoms in the past. Her vital signs are within normal limits. The left eye is red and is hard on palpation. The left pupil is mid-dilated a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two hours after undergoing a left femoral artery embolectomy, an obese 63-year-old woman has severe pain, numbness, and tingling of the left leg. The surgery was without complication and peripheral pulses were weakly palpable postprocedure. She has type 2 diabetes mellitus, peripheral artery disease, hype... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A regional academic medical center has 10 cases of adenovirus in the span of a week among its ICU patients. A committee is formed to investigate this outbreak. They are tasked with identifying the patients and interviewing the care providers to understand how adenovirus could have been spread from patient... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy who recently emigrated from sub-Saharan Africa is brought to the physician because of a 2-day history of fever, chills, and productive cough. His mother reports that he has had several episodes of painful swelling of his fingers during infancy that resolved with pain medication. His immun... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man is brought to the physician by his daughter for a follow-up examination. The daughter noticed that he has gradually become more forgetful and withdrawn over the last year. He frequently misplaces his car keys and forgets the names of his neighbors, whom he has known for 30 years. He has ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man with a 5-year history worsening shortness of breath and cough comes to the physician for a follow-up examination. He has never smoked. His pulse is 75/min, blood pressure is 130/65 mm Hg, and respirations are 25/min. Examination shows an increased anteroposterior diameter of the chest. D... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old obese man with recently diagnosed hypertension returns to his primary care provider for a follow-up appointment and blood pressure check. He reports feeling well with no changes to since starting his new blood pressure medication 1 week ago. His past medical history is noncontributory. Besid... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A startup is working on a novel project in which they claim they can replicate the organelle that is defective in MELAS syndrome. Which of the following metabolic processes must they be able to replicate if their project is to mimic the metabolic processes of this organelle? ---- <<Choices:>> A) Glycolysi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man with a history of hypertension, hyperlipidemia, and obesity presents to you in clinic for a yearly physical. His current medication regimen includes a beta blocker, angiotensin converting enzyme inhibitor, and a statin. You review his recent lab work and note that despite being on a maxi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-week-old newborn is brought to the physician for a follow-up examination. He was born at term and the pregnancy was uncomplicated. His mother says he has been feeding well and passing adequate amounts of urine. He appears healthy. He is at the 60th percentile for length and 40th percentile for weight.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the emergency department because of severe chest pain for the past hour. The patient describes the pain as located in the middle of his chest, tearing in quality, and radiating to his back. He has a history of hypertension, hyperlipidemia, and type 2 diabetes mellitus. He has sm... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the pediatrician because his mother is concerned about recent behavioral changes. His mother states that she has started to notice that he is slurring his speech and seems to be falling more than normal. On exam, the pediatrician observes the boy has pes cavus, hammer toes,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to her primary care physician for recent onset headaches, weight loss, and restlessness. Her symptoms started yesterday, and since then she has felt sweaty and generally uncomfortable. The patient’s past medical history is unremarkable except for a recent viral respiratory inf... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician because of recurrent thoughts that cause her severe distress. She describes these thoughts as gory images of violent people entering her flat with criminal intent. She has had tremors and palpitations while experiencing these thoughts and must get up twenty to th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man presents to a New Mexico emergency department with a 12 hour history of shortness of breath and a nonproductive cough. He says that last week he experienced fevers, chills, fatigue, and myalgias but assumed that he simply had a cold. The symptoms went away after 3 days and he felt fine f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman with a history of subarachnoid hemorrhage is brought to the emergency department because of shortness of breath and sharp chest pain that worsens on inspiration. She underwent surgery for a hip fracture 3 weeks ago. Her pulse is 110/min, respirations are 20/min, and blood pressure is 1... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the emergency department by her friends who were at a party with her and found her unconscious in the bathroom. They admit that alcohol was present at the party. The patient's blood pressure is 118/78 mm Hg, pulse is 40/min, respiratory rate is 16/min, and temperature is 3... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents with increased thirst and frequent urination that started 6 months ago and have progressively worsened. Recently, she also notes occasional edema of the face. She has no significant past medical history or current medications. The patient is afebrile and the rest of the vital ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old newborn is brought to the pediatrician by his mother. His mother is concerned about her son’s irritability and vomiting, particularly after breastfeeding him. The infant was born at 39 weeks via spontaneous vaginal delivery. His initial physical was benign. Today the newborn appears mildly ja... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man visits his physician’s office for a routine check-up. He tells his physician that he is otherwise healthy, except for persistent headaches that he gets every morning. Upon further questioning, he reveals that he has been changing glove sizes quite frequently over the past couple of years... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after being admitted for acute myocardial infarction, a 61-year-old man has sharp, substernal chest pain that worsens with inspiration and improves when leaning forward. Cardiac examination shows a scratchy sound best heard over the left sternal border. Histopathological examination of the affect... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man comes to the physician because of a 6-week history of intermittent fever, abdominal pain, bloody diarrhea, and sensation of incomplete rectal emptying. He also has had a 4.5-kg (10-lb) weight loss over the past 3 months. Abdominal examination shows diffuse tenderness. Colonoscopy shows c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents to his pediatrician along with his parents due to episodes of “staring into space.” This symptom occurs several times a day and lasts only a few seconds. During these episodes, the boy does not respond to verbal or physical stimulation, and his parents deny him falling down or sh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45 year-old gentleman presents to his primary care physician complaining of wrist pain and is diagnosed with carpal tunnel syndrome. Upon further questioning, the patient admits that he has recently been outgrowing his gloves and shoes and has had to purchase a new hat as well due to increased head size... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old male with a history of hypertension presents with chest pain and hoarseness. Patient reports that his hoarseness onset gradually approximately 2 weeks ago and has steadily worsened. He states that approximately 2 hours ago he had sudden onset chest pain which has not improved. The patient de... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old G1P0 woman at an estimated gestational age of 9 weeks presents for her first prenatal visit following a positive home pregnancy test. She says she missed 2 periods but assumed it was due to stress at work. She has decided to continue with the pregnancy. Her past medical history is significan... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-day-old newborn is brought to the physician because of a generalized rash for 1 day. He was born at term. The mother had no prenatal care and has a history of gonorrhea, which was treated 4 years ago. The newborn is at the 50th percentile for head circumference, 60th percentile for length, and 55th pe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A hospitalized 45-year-old man has had mild flank pain since awakening 3 hours ago. He also reports a new generalized rash. Two weeks ago, he was diagnosed with pulmonary tuberculosis. Current medications include isoniazid, pyrazinamide, rifampin, ethambutol, and pyridoxine. His temperature is 38.3°C (100... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the emergency department with fever, abdominal pain, and nausea for the past 7 hours. The pain started in the right lower abdomen but has now progressed to diffuse abdominal pain. Her temperature is 39.5°C (103.1°F). Physical examination shows generalized abdominal tenderness ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old male presents to his primary care physician for evaluation of fever and an unintended weight loss of 25 pounds over the last 4 months. He also has decreased appetite and complains of abdominal pain located in the right upper quadrant. The patient has not noticed any changes in stool or urine... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought to the emergency department 30 minutes after being involved in a high-speed motor vehicle collision in which he was a restrained driver. On arrival, he is alert and oriented. His pulse is 112/min, respirations are 29/min, and blood pressure is 100/60 mm Hg. The pupils are equa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man comes to the physician after receiving a high blood pressure reading of 160/90 mm Hg at an annual employee health check-up. During the past few months, the patient has had occasional headaches and mild abdominal pain, both of which were relieved with ibuprofen. He has also had several ep... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is brought to the emergency department 40 minutes after spilling hot oil over himself in a kitchen accident. Examination shows multiple tense blisters over the abdomen, anterior chest, and anterior and posterior aspects of the right upper extremity and right thigh. On deroofing the blist... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought to the emergency department by his girlfriend because of increasing confusion for the past 6 hours. He drinks large amounts of alcohol daily and occasionally uses illicit drugs. He is lethargic and oriented only to person. Physical examination shows jaundice, hepatomegaly, and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old homeless male presents to the ED because he hasn’t felt well recently. He states that he has been feeling nauseous and extremely weak over the past few days. He has several previous admissions for alcohol intoxication and uses heroin occasionally. His temperature is 100.9°F (38.3°C), blood p... | B |
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